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A significant part of the Healthesystems vision is to create a more integrated experience for our customers

Advocacy & Compliance

Healthesystems’ Advocacy & Compliance experts are essential in the management of pharmacy and ancillary benefits for our clients. By tracking and influencing regulatory activity, our team stays  ahead of evolving trends and identifies opportunities to advocate on behalf of our clients, their injured workers, and the broader industry.

The Advocacy & 
Compliance Team

Monitors and reports on proposed and pending regulatory changes that impact workers' comp, helping shape effective program strategies

Advocates for fair and balanced public policy through proactive engagement with regulators, customers, and other stakeholders throughout the rulemaking lifecycle

Supports operational compliance by providing guidance to internal stakeholders and external partners during the implementation of new regulatory changes

Regulatory Tracking

To track relevant regulatory trends across the nation, access our interactive map.
Go to Map

Regulatory Recap

A weekly e-newsletter informed by our Advocacy & Compliance team to help keep our clients and industry contacts in the know on the latest legislation and policy updates impacting workers' comp. Explore our complete article repository below.

California Enacts AI Disclaimer Bill and AI Utilization Review Bill

Providers will have final approval of UR decisions when AI is used, and patients must receive notice if AI is used to generate claims communications.
Read More →
October 7, 2024

Delaware Workers’ Comp Trends

A new WCRI report reviews claim costs, medical payments, prescription payments, and more.
Read More →
October 7, 2024

New York PT & OT Assistants Can Soon Treat Injured Workers

Effective October 27th, these professionals can treat injured workers under the supervision of a Board-authorized provider.
Read More →
October 7, 2024

Nevada Proposes Changes to Provider Panel Rules

Payers could soon be required to change certain reporting processes.
Read More →
October 7, 2024

Pennsylvania Workers’ Comp Trends

Key highlights from a WCRI webinar include prescription payment trends, with notable attention on dermatological agents.
Read More →
October 7, 2024

Texas DWC Posts 2024 Network Report Card Results

The report analyzed 10 networks with 205,716 injured employees and 197,365 non-network claims, covering injuries from June 1, 2021, to May 31, 2023.
Read More →
October 7, 2024

California Vetoes UR Doctor Licensing Bill

Doctors performing utilization review for private employers will not have to be board certified.
Read More →
September 30, 2024

Texas Releases 2025 Audit Plan

Audits will focus on timely and accurate reimbursement, bill reporting, and delivery of benefits.
Read More →
September 30, 2024

NCCI Opioid Webinar

NCCI found opioid utilization to be decreasing while opioid doses remained high.
Read More →
September 30, 2024
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Get weekly legislation & policy updates straight to your inbox.
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 Further resources you may be interested in

Additional articles and updates from Healthesystems related to policy shaping workers’ comp.

CDC Updates Isolation and Quarantine Period for COVID-19

New five-day rules are recommended, with variation depending upon vaccination status.
Read More

Federal Judges Try to Block Vaccine Mandates

Rulings from U.S. District Courts have impeded vaccine requirements among certain workers.
Read More

Cannabis in the Workplace on the Rise

One-third of employees have witnessed cannabis use during work hours.
Read More

Take the 2021 Workers’ Comp Industry Insights Survey

Take our survey and share your thoughts on where the industry is headed.
Read More

Sickness and Society: The Future of Infectious Disease in the Workplace

Strategies for a safer, healthier workface amid COVID-19 and beyond.
Read More

Clearing the Air: Marijuana Considerations for Workers’ Comp

Public support for marijuana is at an all-time high. What does this mean for workers’ comp?
Read More
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 Interactive Map

To interact with this map, use the drop-downs to select a topic and type, then click the Display button. You can then roll over and click on individual states for more detailed information. This map represents legislation proposed during the most recent legislative cycle, typically spanning two years in most states. All current regulations are displayed up to present.
The content above is representative of topics Healthesystems proactively monitors and reports on. While not all topics are directly applicable to workers' compensation claims, some may have potential to impact workers' compensation in the future.
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